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Zaidenberg EE, Rossi LA, Bongiovanni SL, et al. Snapping scapular syndrome secondary to rib intramedullary fixation device. Int J Surg Case Rep. 2015;17:158-60doi: 10.1016/j.ijscr.2015.11.010.
Zaidenberg, E. E., Rossi, L. A., Bongiovanni, S. L., Tanoira, I., Maignon, G., & Ranalletta, M. (2015). Snapping scapular syndrome secondary to rib intramedullary fixation device. International journal of surgery case reports, 17158-60. https://doi.org/10.1016/j.ijscr.2015.11.010
Zaidenberg, Ezequiel E, et al. "Snapping scapular syndrome secondary to rib intramedullary fixation device." International journal of surgery case reports vol. 17 (2015): 158-60. doi: https://doi.org/10.1016/j.ijscr.2015.11.010
Zaidenberg EE, Rossi LA, Bongiovanni SL, Tanoira I, Maignon G, Ranalletta M. Snapping scapular syndrome secondary to rib intramedullary fixation device. Int J Surg Case Rep. 2015;17:158-60. doi: 10.1016/j.ijscr.2015.11.010. Epub 2015 Nov 19. PMID: 26629853; PMCID: PMC4701874.
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Int J Surg Case Rep. 2015;17:158-60. doi: 10.1016/j.ijscr.2015.11.010. Epub 2015 Nov 19.

Snapping scapular syndrome secondary to rib intramedullary fixation device.

International journal of surgery case reports

Ezequiel E Zaidenberg, Luciano A Rossi, Santiago L Bongiovanni, Ignacio Tanoira, Gaston Maignon, Maximiliano Ranalletta

Affiliations

  1. Institute of Orthopaedics "Carlos E. Ottolenghi" Italian Hospital of Buenos Aires, Buenos Aires, Argentina. Electronic address: [email protected].
  2. Institute of Orthopaedics "Carlos E. Ottolenghi" Italian Hospital of Buenos Aires, Buenos Aires, Argentina.

PMID: 26629853 PMCID: PMC4701874 DOI: 10.1016/j.ijscr.2015.11.010

Abstract

BACKGROUND: Scapulo-thoracic joint disorders, including bursitis and crepitus, are commonly misdiagnosed problems and can be a source of persistent pain and dysfunction

PRESENTATION OF THE CASE: This article describes an unusual case of a snapping scapula syndrome secondary to a migration through the lateral cortex of a rib splint intramedullary fixation device into the scapulothoracic joint.

DISCUSSION: Recently, the operative fixation of multiple ribs fractures with intramedullary fixation devices has become popular. Despite the good outcomes with new rib splint designs, concern remains about the potential complications related to potential loss of fracture reduction with migration of the wire resulting in pain or additional injury to the surrounding tissues.

CONCLUSION: Surgeons should pay attention to any protrusion of intramedullary rib implants, especially in the evaluation of routine X-rays following surgical treatment. We should be aware of the possibility of this rare cause of snapping scapula syndrome to avoid delayed diagnosis and consider removing the implant will resolve the pain.

Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Intramedullary nailing; Rib fixation; Snapping scapula

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